DUBOIS RADIOLOGISTS INC (NPI# 1700860517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700860517 |
| Entity Type | Organization |
| Organization Name | DUBOIS RADIOLOGISTS INC |
| Practice Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Mailing Address |
Po Box 1106 Du Bois PA 15801-0906 |
| Practice Telephone | 8143711784 |
| Practice Fax Number | 8143714812 |
| Mailing Telephone | 8143711784 |
| Mailing Fax Number | 8143714812 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GHAZANFAR A SHAH (PRESIDENT) |
| Authorized Official Telephone | 8143753261 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
PA | Allopathic & Osteopathic Physicians | |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
PA | Allopathic & Osteopathic Physicians | |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
PA | Allopathic & Osteopathic Physicians | |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014329870006 | 05 | |
| GEISINGER CLASS | 2493 | 01 | |
| BLUE SHIELD CLASS | 456199 | 01 | |
| TRICARE CLASS | P022732 | 01 | |
| ION HEALTH | 0014329870007 | 01 | |
| MEDICARE CLASS | 456199 | 01 |
| Street Address |
100 HOSPITAL AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627580 | Dennis E Kirst | Nurse Anesthetist, Certified Registered | 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 | 2005-05-31 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1821615790 | Whitney Claire Haley | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-26 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1871117382 | Gregory Vincent Gigliotti | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-01 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1033748249 | Rhonda K Mcconnell | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-08 |
| 1073142972 | Alexander Westcott | Student in an Organized Health Care Education/Training Program | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-03 |
| 1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467062 | George M Kosco | Radiology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2005-12-08 |
| 1477538783 | Ghazanfar A Shah | Radiology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760533822 | George Frederick Edeburn | Radiology | 36 Van Artsdalen Dr, Washington Crossing, PA 18977-1354 | 2007-01-16 |
| 1760430326 | Samuel Irwin Krinsky | Radiology | 1620 Sweet Briar Rd, Ottsville, PA 18942 | 2006-05-05 |
| 1851389043 | Mitchell S Rodman | Radiology | 24 N Bryn Mawr Ave # 171, Bryn Mawr, PA 19010-3304 | 2005-10-11 |
| 1275072662 | Spirit Physician Services Inc. | Radiology | 503 North 21st Street, Camp Hill, PA 17011 | 2017-02-17 |
| 1932475381 | Mark Anthony Sellmyer | Radiology | 3400 Spruce St, 1 Silverstein Pavillion., Philadelphia, PA 19104 | 2012-03-30 |
| 1437423514 | Fox Chase Cancer Center Medical Group, Inc | Radiology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1992090849 | Austin R Pantel | Radiology | 3400 Spruce St, Department of Radiology, Philadelphia, PA 19104-4206 | 2011-06-17 |
| 1710114186 | Joseph Stephen Fotos | Radiology | 500 University Dr, Hershey, PA 17033-2360 | 2009-06-12 |
| 1053547596 | Rohit Walia | Radiology | 333 Cottman Ave, Philadelphia, PA 19111 | 2009-06-10 |
| 1083872956 | Michael D Farwell | Radiology | 3400 Spruce St, Philadelphia, PA 19104 | 2008-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.